Largest ethnic group is
Hispanic
Largest racial minority group is
African Americans
define Effective care:
positive outcomes and satisfaction for patients
define Respectful care:
considers values, preferences, and expressed needs of patient
Define Cultural and linguistic competence:
congruent behaviors, attitudes, and policies that come together in a system among professionals that enables work in cross-cultural situations
Socialization or enculturation:
the process of being raised within a culture and acquiring the norms, values and behaviors of that group
Acculturation:
process of social and psychological exchanges that take place when there are ongoing encounters between individuals of different cultures with subsequent changes in either or both groups
Assimilation:
when immigrants take on the characteristics of the dominant cult ure
Religion:
organized system of beliefs concerning the cause, nature and purpose of the universe, especially belief in a divine power
Spirituality:
borne out of each person’s unique life expereince and personal effort to find purpose and meaning in life
what are the different beliefs and practices?
Biomedical disease causation theories
* Viewsthebodyasamachine • Lifecanbedividedintoparts • Endorsesgermtheory
• Naturalistic disease causation theories
• Magicoreligious disease causation theories
* Examples include voodoo, witchcraft, and faith healing
• Healing and culture
Health-Related Behaviors Affected by Religion
Meditating • Exercising/physicalfitness • Sleephabits • Vaccinations • Willingnesstoundergophysicalexamination • Pilgrimage • Truthfulnessabouthowpatientfeels • Maintenanc e of family v iability • Hopingforrecovery • Copingwithstress • Geneticscreeningandcounseling • Livingwithadisability • Caringforchildren
Culture affects choices parents make for children regarding the following:
Presumedcauseofillness
• Firsttreatment tried
• Acceptabilityoftreatmentsofferedbyclinicians
For older patients, culture is likely to do the following:
* Affecttheirviewandknowledgeofhealthcaresystemsusedbydominantculture
• Culturally sensitive
• Caregiverspossessbasicknowledgeandunderstanding
• Culturally appropriate
• Caregiversapplyknowledgetoimprovehealthoutcomes
• Culturally competent
•Caregiversapplyauniversalconceptofunderstandingtoallcontextualaspectsofcare
• Cultural care
•Provisionofhealthcareacrossculturalboundariesinconsiderationofcontext